Northwoods Wellness Physical & Occupational Therapy, P.L.L.C
Organization Active NPI Occupational Therapist · Ticonderoga, NY
NPI 1003099078 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1003099078
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 007563-1 (NY)
- Legal business name
- NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P.L.L.C
- Practice address
- 106 Montcalm St
Northwoods Wellness Physical & Occupational Therapy, P.
Ticonderoga, NY 12883-1353 - Phone
- (518) 585-9285
- Fax
- (518) 585-9286
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dawn Marie Bazan, MS, OTR/L
- Title
- Owner and Occupational Therapist
- Phone
- (518) 585-9285
Practitioners 3
-
Dawn M Bazan, MS,OTR/L
-
Michelle Cara Moore, DPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 014005-1 | NY | |
| Physical Therapist |
225100000X | 027321-1 | NY | |
| Occupational Therapist |
225X00000X | 007563-1 | NY | Yes |
Addresses
Primary practice location
106 Montcalm St
Northwoods Wellness Physical & Occupational Therapy, P.
Ticonderoga, NY 12883-1353
Mailing address
106 Montcalm St
Northwoods Wellness Physical & Occupational Therapy, P.
Ticonderoga, NY 12883-1353
Phone (518) 585-9285
Other providers in Ticonderoga, NY
- Moses Ludington Nursing Home Company, Inc
- Moses-Ludington Hospital
- Moses-Ludington Hospital
- Moses-Ludington Hospital
- North Country Sports Medicine PLLC
- Dennis S O'Brien
- Optics LTD
- Optics of Ticonderoga
- Karrah Peters
- Brittni Phinney
All providers in Ticonderoga, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.